Senior Claims WFM Lead: Forecasting & Capacity
$67.9k - $199.14kCVS Health
CVS Health is seeking a Claims Workforce Manager to provide strategic ownership of workforce management. This role involves forecasting demand, developing staffing models, and optimizing workforce utilization. Candidates should have a minimum of 7 years of experience in workforce management or operational analytics within healthcare or complex operational environments. The role may include remote or hybrid work based on the candidate's location. Additional benefits such as medical coverage, retirement options, and a competitive salary range of $67,900.00 to $199,144.00 are offered. #J-18808-Ljbffr
$126.2k - $264.1k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...President of Infrastructure Capacity and Planning. As an energy... ...reduction and renewable energy claims: Global Reporting Initiative... ...your potential at a company leading the way in AI and cloud solutions...SeniorClaimsContract workTemporary workFor contractorsFlexible hours$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...receivable team, ensuring accurate and timely processing of claims, including denials and the maximation of cash flow. This role is...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$143.65k - $179.57k
...SOLV Energy in New Mexico is looking for a Senior Relay Technician to lead testing and troubleshooting in electrical substations and Battery Energy Storage Systems. The ideal candidate has at least five years of experience and a degree in Electrical/Electronic Technology...SeniorRemote work- ...CVS Health in New Mexico is hiring a Senior Analyst in the Periodic Access Review team within Enterprise Information Security. The role demands strong IT compliance expertise, particularly in access review processes and effective communication skills. Candidates should...SeniorFull time
$62.7k - $97.2k
A healthcare organization in Santa Fe, New Mexico is hiring an experienced accountant to perform professional accounting work, including the compilation and analysis of financial information for the production of financial statements. The role requires a Bachelor's Degree...Senior$21 - $29 per hour
...are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise... ...management with correcting ethical and compliance issues and problems Leads and participates in teams by using and sharing resources...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office$245.45k - $381.11k
...Executive Director, Global Value Evidence Lead, is a strategic leader responsible for... ...strategy across the company’s portfolio. This senior leader will provide strategic vision and... ...application processing fee, even if claimed you will be reimbursed, this is not Otsuka...ClaimsTemporary workLocal areaFlexible hours$115k - $125k
...the culture. What You’ll Be Doing: As a Senior Product Owner at Evolent Health, you will... ...the healthcare technology domain. You will lead agile teams, collaborate across functions... ...of healthcare data formats (eligibility, claims, authorizations) and compliance standards...SeniorClaimsWork at officeImmediate start$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities... ...Inc. Job Description Business Title(s): Senior Construction Defect Technical Claims... ...Construction Technical Claims Specialist Team Lead to join our team and work from any of the...SeniorClaimsFull timeLocal areaRemote work$105.1k - $135.09k
...Within Advanced Therapy Solutions (ATS), the Senior Manager, Value & Access Solutions plays a... ...RWE and Analytics & Insights teams with claims, reimbursement, and health economics data... ..., metrics, or models Works on or may lead complex projects of large scope...SeniorClaimsTemporary workLocal areaImmediate startFlexible hoursShift work- ...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...other clerical duties, as assigned by the Pharmacy Manager. Leads Pharmacy Department inventory management activities, such as, ordering...SeniorClaimsWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
$161.5k - $184.3k
...A leading financial services provider seeks a Senior Manager for its Ad Solutions team in Santa Fe, NM. This remote role involves partnering with key merchants, managing strategic accounts, and leveraging data to drive marketing success. Ideal candidates will have over...SeniorRemote work$100k - $125k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary... ...candidate for this or other roles. Sedgwick is the world\’s leading risk and claims administration partner, which helps clients thrive...SeniorClaimsWork at officeLocal areaRemote workFlexible hours$55k - $75k
...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with... ...: Chairman's Circle, Ambassador Travel, Legion of Honor, Senior Vice President's Club, Silver Scroll, and Bronze Tablet If...ClaimsFor contractorsWork at office- ...of technical material. Must be capable of high-volume data entry. Assistant Business Office Manager will review, post, and submit claims that are compiled on a daily basis through the Practice Management System. This position will also be responsible for statement processing...ClaimsWork at office
- ...ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to... ...claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer...Claims
$79.4k - $136.4k
...Position Overview The Database Team Lead oversees the design, administration, and performance of enterprise database platforms that... ...administrators to ensure availability, security, backup and recovery, and capacity planning across multiple database technologies in a federal IT...Contract workWork at office$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...ClaimsRemote workWork from home- ...are seeking an experienced ASO/Stop Loss Underwriter in a remote capacity, with a preference for candidates based in Albuquerque, NM.... ...be responsible for reviewing RFP submissions, analyzing large claims, making underwriting adjustments, and finalizing competitive quotes...ClaimsContract workRemote work
$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients...ClaimsContract workWork at officeLocal areaFlexible hours- ...problems. Experience in an advisory or research capacity involving the creation of solutions to... ...be performed. Experience which includes leading, directing and assigning work of... ...documentation to support your Educational claims. To receive credit for Education, you must...ClaimsWork at officeLocal area
- ...service and preparation position \n \n \n About Us \n \n \n Chili's was born in Dallas, Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand...ClaimsFull timePart timeCasual workImmediate startFlexible hoursShift work
$72.1k - $133.9k
...debit memos, agent error payouts, and HCP traveler reimbursements Claims & Research: Manage US rental car accident claims and assist... ...Analysis & Processing: Conduct monthly financial reviews comparing forecasted budgets against actual expenditures; calculate travel bonuses,...ClaimsWork at officeImmediate startFlexible hours- ...Therapeutic exercise including aerobic capacity conditioning , balance coordination ,... ...Standard/Code of Conduct, Federal False Claims Act and HIPAA. # Participates in required... ...and results, we connect top talent with leading organizations through trusted partnerships...ClaimsPermanent employmentContract workFlexible hoursShift work
$133.5k - $274.1k
...evaluate medical documentation for disability claims in a collaborative, team-oriented... ...medical knowledge to determine functional capacity through assessment of medical and other data... ...of Unum Group, a Fortune 500 company and leading provider of employee benefits to...ClaimsTemporary workWorldwideFlexible hours$70k - $80k
...payments. Ensure compliance with GAAP, tax regulations, and industry standards. Collaborate with project managers to track budgets, forecasts, and profitability. Support annual audits and liaise with external auditors. Develop and implement process improvements to...SeniorFor subcontractorLocal area- ...of clinical development. We are seeking a Senior Director, Business Development with... ...service CROs and niche specialty providers. Lead the development of RFP/RFI responses, capabilities... ...of the Large Pharma business NBA forecast, collaborating with VPs of Business Development...Senior
- ...experience preferred ~ Board certification required ~ Competitive compensation ~ Pre-paid travel and housing ~ Paid AAA-rated claims made malpractice ~ Licensing assistance and cost reimbursement ~ Member of NALTO Board Certified or Board Eligible Medical...ClaimsWork visa
- ...business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends;... ...reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and document financial...Work at officeLocal area
$63.4k - $85k
A leading claims management firm is seeking a Claims Examiner for a remote role in the United States. The ideal candidate will analyze workers compensation claims to determine benefits due and ensure ongoing adjudication of claims. Responsibilities include resolving claims...ClaimsRemote work
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